A client with a new tracheostomy is being seen in the oncology clinic. What finding by the nurse best indicates that goals for the client's decrease in self-esteem are being met?

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Question 1 of 5

A client with a new tracheostomy is being seen in the oncology clinic. What finding by the nurse best indicates that goals for the client's decrease in self-esteem are being met?

Correct Answer: B

Rationale: The correct answer is B because joining a book club shows an improvement in social engagement and participation, indicating an increase in self-esteem. This choice demonstrates the client's interest in activities outside of their healthcare needs, promoting a sense of normalcy and connection. In contrast, options A, C, and D focus solely on stoma care and physical aspects, not directly related to self-esteem. Understanding stoma care (A) is important but does not address self-esteem directly. Family assistance (C) is supportive but does not necessarily indicate an improvement in the client's self-esteem. Skin integrity (D) is essential for physical health but does not reflect self-esteem.

Question 2 of 5

In general, when looking at acid-base balance, how does the body compensate with metabolic acidosis?

Correct Answer: A

Rationale: The correct answer is A. In metabolic acidosis, the lungs compensate by increasing respiratory rate and depth ('blowing off' CO2) to reduce acidity and raise pH. B is incorrect because retaining CO2 would worsen acidosis. C is partially true long-term but slower acting than pulmonary compensation. D is incorrect because excreting bicarbonate lowers pH further.

Question 3 of 5

The nursing assistant tells you that the client on oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should you suggest to improve the client's comfort for this problem?

Correct Answer: A

Rationale: The correct answer is A. Humidifying oxygen reduces nasal dryness and irritation caused by high-flow oxygen through a nasal cannula. Using a face mask (B) might help but is less practical for long-term use. Providing an extra pillow (C) or sitting up in a chair (D) does not address the nasal discomfort directly.

Question 4 of 5

A patient reports sudden difficulty breathing with tachypnea and tachycardia and localized chest pain. The physician suspects a pulmonary embolism. What test would you expect the physician to order?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Following a motor vehicle accident, the nurse assesses the driver for which distinctive sign of flail chest?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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